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Organization

PLAZA PRIMARY CARE AND GERIATRICS

Active
Parent organization
PLAZA PRIMARY CARE AND GERIATRICS
Organization subpart
Yes

Provider details

NPI number
Legal business name
PLAZA PRIMARY CARE AND GERIATRICS
Authorized official
MRS. REGINA G FOSTER (OFFICE MANAGER)
(816) 561-9200
Entity
Organization

Contact information

Practice address
4440 BROADWAY, KANSAS CITY, MO 64111-3315
(816) 561-9200
(816) 561-5766
Mailing address
4440 BROADWAY, KANSAS CITY, MO 64111-3315
(816) 561-9200
(816) 561-5766

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
10/31/2006
Last updated
10/26/2007
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